No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CVSHEALTH EIN 05-0340626 CONTRACT ADMIN | Contract Administrator; Claims processing Service code 12 | — | $623K |
| ANTHEM BLUE CROSS LIFE AND HEALTH EIN 95-4331852 MEDICAL FEE | Float revenue; Claims processing; Other services; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | — | $122K |
| T. ROWE PRICE ASSOCIATES, INC. EIN 52-0556948 INVESTMT MGMT | Investment management fees paid directly by plan; Direct payment from the plan; Investment management Service code 28 | — | $66K |
| UNITED HEALTHCARE SERVICES, INC. EIN 41-1289245 CLAIM PROCESSOR | Other services; Claims processing Service code 12 | — | $11K |
| WAGEWORKS, INC. EIN 94-3351864 CLAIM PROCESSOR | Claims processing; Other services Service code 12 | — | $10K |
| JPMORGAN CHASE BANK, N.A. EIN 13-4994650 TRUSTEE | Trustee (bank, trust company, or similar financial institution) Service code 21 | — | $7K |
Benefits declared on the Form 5500 main form (✓ = also has a Schedule A insurance contract; otherwise the benefit is funded out of plan assets or via a Schedule C TPA).
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 0 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2,534 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 2,534 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 4 carriers) | KAISER FOUNDATION HEALTH PLAN, INC - CALIFORNIA | 10,317 | $1.8M |
| Vision | VISION SERVICE PLAN | 126 | $14K |
| Prescription drug(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN, INC - CALIFORNIA | 10,317 | $1.3M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 10,317 | — |
Why the numbers differ. Form 5500 line 6 counts employees + retirees + beneficiaries; no dependents. Schedule A persons-covered counts everyone enrolled, including spouses and children, so it usually exceeds line 6 by 30-60% on a working-age workforce. The medical row is normally the broadest single line because it has the highest take-up; dental/vision/life often dip below it. Stop-loss / reinsurance contracts sometimes report the carrier's full underwriting pool rather than this filer's headcount; the row is shown for transparency but shouldn't be read as "people in this plan."
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.